Individual
LIGAYA FRANCIS PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 545-4537
(707) 545-6726
Mailing address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 545-4537
(707) 545-6726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A12072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083849012
—
CA
01
—
P01774446
RAILROAD MEDICARE
CA
Enumeration date
05/20/2009
Last updated
03/28/2022
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